Individual provider Active NPI

June Li Jia, M.D. PH.D.

  • Internal Medicine Physician
  • Longview, WA
National Provider Identifier
1225204886
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60285194 Issued in WA
Practice address
1615 Delaware St
Longview, WA 98632-2367
Phone
(360) 501-3601
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD152940 OR
Hospitalist Physician 208M00000X MD152940 OR
Internal Medicine Physician 207R00000X MD60285194 WA Primary

Addresses

Primary practice location

1615 Delaware St
Longview, WA 98632-2367

Mailing address

10300 NE Hancock St
Portland, OR 97220-3831
Phone (503) 475-9639

Other practice location 1

10300 NE Hancock St
Portland, OR 97220-3831
Phone (503) 475-9639

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjia1180750@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110908002002 OR Practitioner - Internal Medicine 5698945210 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vibra Physicians LLCGroup PAC ID 8921233933, 30 clinicians
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

10300 NE Hancock St
Portland, OR 97220-3831
Phone (503) 257-5500

890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD152940ORMDInternal Medicine Physician
MD60285194WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince May 31, 2022 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Jun 30, 2018 Accepting new patients
Vibra Physicians LLC Hospitalist CurrentSince Mar 1, 2014 Accepting new patients
Legacy Clinics LLC CurrentSince Jan 1, 2019 Accepting new patients
Salem Health CurrentSince May 31, 2022 Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Access Telecare, PLLC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Silverton Health CurrentSince Mar 20, 2020 Accepting new patients
Silverton Health Hospitalist CurrentSince Mar 20, 2020 Accepting new patients
Silverton Health Current Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

10624 S Eastern Ave
#A263
Henderson, NV 89052

10624 S Eastern Ave
Ste A436
Henderson, NV 89052

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

10300 NE Hancock St
Portland, OR 97220
Phone (503) 257-5500

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

4550 Lena Dr
Ste 225
Mechanicsburg, PA 17055
Phone (717) 591-5706

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

8081 Royal Ridge Pkwy
Ste 120
Irving, TX 75063

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

Interoperability endpoints

  • Direct secure messaging: jjia337640@direct.salemhealth.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1225204886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 NE HANCOCK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203831",
            "telephone_number": "503-475-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 DELAWARE ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322367",
            "telephone_number": "360-501-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10300 NE Hancock St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972203831",
            "country_code": "US",
            "telephone_number": "503-475-9639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIA",
        "first_name": "JUNE",
        "middle_name": "LI",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD152940",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD152940",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60285194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjia1180750@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9205 SW Barnes Rd",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.